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i Sep'09.2017 03:53 PM WICKENHAUSER EXCAVATING 9524662231 PAGE. 4/ 4i <br /> ,a <br /> I <br /> DETRMINING PERMIT.FEES <br /> ❑SAC Charge(2016 Rate c$2,485.00) $ <br /> (SAC Charge must accompany all sower permit applications unless prepaid) <br /> (Orono City Staff can determine If applicable) <br /> (it not prepaid,a sower connection permit will not be issued) <br /> Sewer Connectlithok-7Discodnect/ palr($50.00/Per Stub) $ <br /> Pipe size inc es;in terial Schd 40 air tested; cast iron <br /> ❑Water Connection/Disconnect/Repair($50.00/Per Stub) $ <br /> Pipe size inches;m terial Schd 40 air tested; copper <br /> ❑Water Availability For Future Hook-Up to Water($50.00) $ <br /> Water Ave I ili Explanation, <br /> Contractor installed line to inside of house for future hook-up. <br /> This line will be inspected y the Public Works Department <br /> B&Quirod Before Water CjggggtionP r i : <br /> 1, Issue Water Mete &Horn Permit <br /> 2. Any Additional C I bnnection Fees Paid(If Applicable) <br /> i <br /> Issue)Mater ConngRlign Pernnix; <br /> 1. Collect Permit Fee&Issue Water Connection Permit <br /> 1. SUBTOTAL,of Permit R ested: � <br /> 2. STATE SURCHARGE $ 1.00 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE A Id Lines 1-3 Above <br /> T <br /> ADDITIONAL FORMATION—WATER METERS <br /> WATER METERS must be picke up and paid for at Orono City Hall,those aro on a separate permit. <br /> ■ WATER METERS must be set Ind sealed by Orono Water Department(952)249-4600, upon <br /> completion of meter Installation. <br /> I <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Permit,agrees to do <br /> all work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota,and certifies that all state nents made on this application are,true and correct. <br /> r q <br /> Applicant: 08bV �� Date: I '" <br />